Provider Demographics
NPI:1386341386
Name:VU DENTISTRY GROUP LLC
Entity type:Organization
Organization Name:VU DENTISTRY GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KIET
Authorized Official - Middle Name:D
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:817-283-1205
Mailing Address - Street 1:2131 STATE HIGHWAY 121 STE 200
Mailing Address - Street 2:
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76039-4166
Mailing Address - Country:US
Mailing Address - Phone:817-283-1205
Mailing Address - Fax:
Practice Address - Street 1:2131 STATE HIGHWAY 121 STE 200
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76039-4169
Practice Address - Country:US
Practice Address - Phone:817-283-1205
Practice Address - Fax:817-786-8017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-09
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty